MEDICARE: CENTER FOR DIABETES FOOT CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1851339899
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR DIABETES FOOT CARE

Provider Business Mailing Address
First Line	:	820 COOPER RD
Second Line	:	SUITE I
City	:	JACKSON
State	:	MS
Zip	:	39212-4099
Country	:	US
Telephone Number	:	601-372-9575
Fax Number	:	601-376-0404

Provider Business Practice Location Address
First Line	:	820 COOPER RD
Second Line	:	SUITE I
City	:	JACKSON
State	:	MS
Zip	:	39212-4099
Country	:	US
Telephone Number	:	601-372-9575
Fax Number	:	601-376-0404

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. KATHLEEN EVANS JAMES
Credential	:
Telephone Number	:	601-372-9575

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1073540654 — DURABLE MEDICAL EQUIPMENT
Practice Location Address:

820 COOPER RD , SUITE I
JACKSON, MS
39212-4099

Practice Phone: 601-372-9575
Practice Fax: 601-376-0404

1912068552 — CHARLES L SLAUGHTER PT
Practice Location Address:

820 COOPER RD , SUITE J
JACKSON, MS
39212-4099

Practice Phone: 601-372-9229
Practice Fax: 601-372-9990

1629367735 — MRS. JANET P. SLAUGHTER DPT
Practice Location Address:

820 COOPER RD STE J
JACKSON, MS
39212-4099

Practice Phone: 601-487-6930
Practice Fax: 601-487-6931

1609127083 — REHABILITATION CONSULTANTS
Practice Location Address:

820 COOPER RD STE J
JACKSON, MS
39212-4099

Practice Phone: 601-906-0386
Practice Fax: 601-487-6931

1679740401 — S & S FOOT SPECIALISTS, PA
Practice Location Address:

121 HIGHWAY 332 W STE G
LAKE JACKSON, TX
77566-4099

Practice Phone: 979-297-8500
Practice Fax: 979-297-3027

1073772489 — DR. SHIRMEEN LAKHANI D.P.M.
Practice Location Address:

121 HIGHWAY 332 W STE G
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Practice Phone: 979-297-8500
Practice Fax: 979-297-3027

Directions to “CENTER FOR DIABETES FOOT CARE ” Practice Location

Language	Start Address	Practice Location

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